Organization
CENTER FOR ADVANCED DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN TOBIN (CHIEF OPERATING OFFICER)
(303) 320-2065
Entity
Organization
Contact information
Practice address
8101 E LOWRY BLVD, SUITE 120, DENVER, CO 80230-7196
(303) 340-8439
(303) 340-5996
Mailing address
8101 E LOWRY BLVD, SUITE 120, DENVER, CO 80230-7196
(303) 340-8439
(303) 340-5996
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63824272
—
CO
Enumeration date
06/14/2013
Last updated
09/23/2014
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